Individual
HEATHER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 414-4953
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
265694
MA
207Y00000X
Otolaryngology Physician
56577
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110118908A
—
MA
05
—
3121157
—
NH
Enumeration date
07/08/2016
Last updated
05/29/2024
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